FISS DDE Screen Changes: October 2023

Updates to the FISS system are being implemented with CMS CR13138 (PDF) effective October 2, 2023.

The purpose of this change request (CR) is to identify and expand monetary amount fields relative to billing and payment within the Fiscal Intermediary Shared System (FISS) to accommodate 10-digits in length ($99,999,999.99).

There are two actions required for Part A/HHH providers that access the FISS via DDE.

• The first action is to ensure that any vendors that provide DDE access for your organization are notified of screen changes within the FISS DDE system which are outlined in this change request. The vendor may need to make software changes to accommodate for the modified CICS MAPs (screens) within FISS DDE.
• The second action is to ensure the CICS screen dimension size is set to 43x80 for all 3270 emulators utilized by your organization for accessing FISS DDE

First Action Required — CICS MAP Changes (FISS DDE)

FISS expansion of monetary amount fields on the following FISS DDE claim screens to accommodate 10-digit dollar amounts (or 11 digits when there are three places to the right of the decimal).

• DDE screen, claim page 02 (MAP1712): Expand the total units and covered units fields to accommodate 10-digits, total charges, and non-covered charges to accommodate 11-digit dollar amounts, and the rate field to accommodate 13 digits. Also expand the total charges and non-covered charges fields on the claim line with revenue code 0001 to accommodate 11-digits dollar amounts, and the total units and covered units to accommodate 10 digits.
• DDE screen, claim page 02 (MAP171A): Expand the total units and covered units fields to accommodate 10 digits, total charge, patient paid, the service rate, labor amount, and non-labor amount fields to accommodate 11-digit dollar amounts. Also claim page 02 (MAP171A) was expanded to 25 lines instead of 24.
• DDE screen, claim page 02 (MAP171D): Expand the covered units, non-covered units, and total non-covered units fields to accommodate 10 digits, and the covered charges, non-covered charges, and total non-covered charges fields to accommodate 11-digit dollar amounts
• DDE screen, claim page 03 (MAP1713): Expand the estimate amount due and due from patient fields to accommodate 11-digit dollar amounts
• DDE screen, claim page 03 (MAP1719): No FISS changes were made to DDE screen claim page 03 (MAP1719), as this screen currently displayed the required 10-digit dollar amounts in the monetary amount fields
• DDE screen, claim page 06 (MAP1716): Expand the coinsurance field to accommodate 9-digit dollar amounts, expand the paid by patient, GRH original reimbursement and tech provider charges fields to accommodate 11-digit dollar amounts
• DDE claim summary screen (MAP1741): Expand the total charge field to accommodate 11-digit dollar amounts

Second Action Required — Session Emulator Instructions

From the eligibility detail inquiry screen 2 (MAP1751), press F8 to display eligibility screen 3 (MAP175J & MAP175M).

Expand the total units and covered units fields to accommodate 10 digits, total charge, patient paid, the service rate, labor amount, and non-labor amount fields to accommodate 11-digit dollar amounts. Also Claim Page 02 (MAP171A) was expanded to 25 lines instead of 24.

Part A/HHH Providers who utilize DDE to access the FISS, should verify their mainframe session emulator settings have a CICS screen dimension size of 43X80 to accommodate the newly expanded screens in the FISS per CMS CR13138. These changes will be implemented on October 2, 2023. The emulator change described below must be in place prior to October 2, 2023, otherwise, the modified DDE screens may not display correctly.

Instructions for the IBM Personal Communications Mainframe Session Emulator

• Start your emulator session as you normally would to sign into a CICS region, but do not enter any sign-on information                          
• Click on the communication selection at the top of the screen, then from the drop-down box choose "Configure"
• Choose the session parameters button
• A pop-up window should appear with a screen size field
• Confirm it says 43x80. If it does, then click on the cancel button which will return you to the customize communication window. Click on the cancel button and you should be returned to your session. No further actions are necessary. 
• If the screen size field in step 4 does not say 43x80, then click on the drop-down arrow for the field and choose 43x80
• Click OK
• This should take you back to the customize communication window
• Click OK again — a pop-up will appear saying, "Communication will be terminated"
• Click OK again — the session should reconnect and now you can proceed into CICS
• Other products in use for mainframe session emulation may or may not be similar. Please consult with your IT organization for further details on how to implement these changes.